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Karla Talavera
6806 Hopewell Ave
Springfield, VA 22151
(571) 421-4723

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: July 3, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
- Annual update will be needed for Child #4 [DOE: 7/17/17] - Proof of birth will be needed by 7/9/18 for Child #1 [DOE: 7/2/18]; Physical will be needed by 8/9/18. - Provider has received facility code and anticipates scheduling required fingerprint backgrounds checks for all adult household members and caregivers by deadline.

Comments:
An unannounced monitoring inspection was conducted today from 1:20pm-4:00pm. 12 children [25 pts] were observed in the care of 2 caregivers. Children were observed during naptime, toileting, handwashing, and snack. Nurturing interactions were observed between staff and children in care. A sample of 4 children's records and 3 caregiver/household members were reviewed, in addition to postings, emergency plan and other documents. Areas of noncompliance are documented on the violation notice. If you have any questions, please contact me at Ivaco.Clarke@dss.virginia.gov or 571-835-5505. Thank you for your cooperation.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on a review of records, 2 of 4 children's records were missing documentation of a physical examination within 30 days after enrollment. Evidence: The records for Child #3 [date of enrollment: 2/1/2018] and Child #4 [date of enrollment: 7/17/2017] were missing documentation of a physical exam.

Plan of Correction: I will discuss this with the parents and make sure to add them to the record.

Standard #: 22VAC40-111-60-B
Description: Based on a review of records, 2 out of 4 children's records did not include the required information. Evidence: The record for Child #3 was missing 1 of 2 required emergency contacts. The record for Child #4 was missing an address for 1 of 2 emergency contacts.

Plan of Correction: I will speak with the parents and add this information to the record.

Standard #: 22VAC40-111-70-A
Description: Based on a review of records, 1 out of 4 records did not include written information to the parents before the child's first day of attendance. Evidence: The record for Child #3 was missing written information to parents [including but not limited to, check in and check out procedures, discipline policies, termination policies, provisions for emergency preparedness, etc.].

Plan of Correction: I will make sure to add this information to the record.

Standard #: 22VAC40-111-90-A
Description: Based on a review of records, 1 of 4 children's records were missing documentation of immunizations before the child's first date of attendance. Evidence: The records for Child #1 [date of enrollment: 7/2/2018] and Child #7/17/2017] were missing documentation of children's immunizations.

Plan of Correction: I will make sure to discuss this with the parents and add the information to the records once I receive it.

Standard #: 22VAC40-111-240-A
Description: Based on observation, an area of the family day home was maintained in safe condition. Evidence: While entering the smaller play room, an area of frayed carpeting was observed at the entrance near the safety gate - posing a tripping hazard.

Plan of Correction: I will make sure to remove/cover the frayed area of carpet.

Standard #: 22VAC40-111-320-B
Description: Based on observation, protective covers were not installed on all unused electrical outlets and surge protectors. Evidence: Protective covers were not installed on 3 unused outlets on a surge protector and 1 unused outlet on the wall next to a crib.

Plan of Correction: I will make sure to purchase more outlet covers.

Standard #: 22VAC40-111-510-C
Description: Based on observation, rest mats were not adequately spaced from one another when occupied. Evidence: During the inspection, it was observed that several occupied rest mats were not spaced at least 12 inches from one another.

Plan of Correction: I will make sure to space mats 12 inches apart.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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